老年人蛛网膜下腔出血的临床特点与DSA研究

目的 探讨老年人蛛网膜下腔出血(SAH)的临床特征与DSA之间的关系,以提高诊治水平.方法 回顾分析1995年9月～2004年3月北京医院神经外科收治的60岁以上的SAH 152例的临床资料与DSA结果对比分析.结果 老年人SAH仍以动脉瘤破裂出血为主,152例中行DSA133例(87.5%),动脉瘤患者119例(89.5%),发现动脉瘤129个,其中多发性动脉瘤7例,动脉瘤多分布在前、后交通动脉(61.2%),DSA阴性者10例(7.5%),动静脉畸形(AVM)3例,moyamoya病1例.头痛、脑膜刺激征发生率低,程度也较轻,意识障碍及并发症多见.结论 了解和重视老年人SAH的临床特征,尽早行DSA检查,对颅内动脉瘤及时行血管内栓塞治疗,可避免再出血,减少并发症,降低死亡率.

Clinical features and DSA research on the subarachnoid hemorrhage of the aged man

Objective The paper investigates the subarachnoid hemorrhage(SAH) of the aged man clinical features and the relations with DSA,the way of improving diagnose level and cure results. Methods Though analysizing SAH clinical documentaries and DSA results of 152 aged men over sixty who were hospitalized from 1995.9~2004.3. Results We have found 133 cases of DSA(87.5). 119 casea of arterial tumeur patients( 89.5 ),119 cases of arterial tumeur patients(89.5)among133cases. That shows the aged men's SAH occupy the leading position. We've still found 129 arterial tumous with 7 multi-arterial tumous. Arterial tumous mainly lie in anterion and posterior communicating artery(61.2). 10 cases negativers(7.5),3 artery and vein malformations and a moyamoya,the rate of headache and meninx stimulation feature are low,and degree is not serious,but more consciousness barriers and complications happen. Conclusion We should understand and pay more attention to the aged man's SAH clinical features,do DSA examination as soon as possible,tyeat arterial tumour in the cranial caving by means of embolish treatment in the blood vessel,only this,therebleeding can be avoided,complication reducedand death rate decreased.